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Y <br /> REGEIVED <br /> Mailing:P.O.Box iTS,Salida,CA 95388 UB.17 2016 <br /> 4612 Klenian Court Salida,CA 95360 <br /> GegqngeW. Lowry, Inc. F! Phone:209,545-0.791 FAX 209-545.2 <br /> 1, run' ENVIRONMENTAL <br /> ii—nvironmentai services Division <br /> EPA#CARQ00"7019 HEAM-1 nPOARTAfi I=NT <br /> CA Transporter Number 3844 <br /> kf CA License#758518 <br /> AP_ <br /> GENERATOR: Consolidated Manifest Invoice: <br /> Site EPA ID#. Shipment Data: 24672 <br /> Contact Person: <br /> Name: By__ Driver Signature(Printed)1CZ,4,,,, Sp-h 3" <br /> Address: I/ A-(i Truck# <br /> City,State,zip: <br /> Wto Phone: <br /> Product Waal'a CA Marildest#0 quantity Units Price Amount <br /> Code <br /> -Non-RCRA Hazardous Waste Liquid(Used 011):1-ulirkating 221 Get <br /> as <br /> Non-RCRA Hazardous Waste Liquid(Used oil):industrial 221 i i Gal <br /> Non RCRA Hazardous waste liquid(Used Automotive Antillielize) 134 Pal <br /> Non-RCRA Hazardous Waste Liquid(0€18 water) -. 221 Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 223 Drum(a) <br /> Drained Used Oil Filter Drum(s) Drunits) <br /> Empty Drum(s) Each <br /> Tfarisportabon&Truck-nine <br /> uR. <br /> Hazardous Test <br /> Unless OM-M-specified On INS Consolidated Manifest Receipt(1nvojos)Tsrn=Accounts duo on the 10th of the month folloWnlimonthQfPast due TOO <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 14r2%per month,which is the ANNUAL PERCENTAGE RATE r=!,as, <br /> By signing this receipt the Generator Certifies that a program has been established to reduce the volume or quantity and toxicity of the hazardous waste degree as <br /> determined by the generator,to be economically practicable. <br /> Generator certifies that all Hazardous Waste listed on this Consolidated Manifest Receipt is profiled to meet the Waste Codes as listed above. <br /> Note: George W.Lowry,Inc. hereby advises the Generator that X 'a(Generator's signature) <br /> shipment of used oil may be transported to a facility that is required to comply with federal regulations applicable to management of used oil but that Is <br /> not required to Comply With the more stringent requirements applicable to hazardous waste management facilities. CaffOM18 facilities that handle or <br /> process used oil are required to meet those more stringent requirements,and some out-of-state facilities that process used oil also meet those require- <br /> ments These include more stringent,leak detection and prevention requirements,engineering certifications of tank Integrfty,and financial assurances <br /> for closure and accidental releases. it is lawful to send used oil to out of state facilities that comply only with the FedeLal used oil management stan- <br /> dards and not these more stringent requirements. <br /> This notification Is for Information only. Lowry Driver SVMure- <br /> _ <br /> Signature of Generator,Representative or Agent of Generator: X_ <br /> 13 <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Tayon Cr. 101 Hagen Drive <br /> Valley Springs,CA 95252 Woodville,M 54028 Hawn: <br /> 209-7644600 715-6983363 <br /> CAL000214411 WIR000029751 Address: <br /> r 6 t-L-- <br /> facilitiesC3 City,state.zip.. <br /> Riverbank Oil Transfer 5300 Ramos Environmental <br /> Chun;Road 1515 S.River Road <br /> Riverbank CA 96367 West Sacramento,CA 95691 Phone: <br /> 209-8634181 91"71.5747 <br /> CALOD00190817 CAD0040035M EPAID: <br />